Outpatient Insurance Verification Specialist (Day Shift)

Baxter; Mountain Home (AR); On-site; USD 34,000 - 42,000; Full time

Job summary

Baxter Health in Mountain Home, AR seeks an Insurance Verification Specialist to supervise daily verification of outpatient insurance and eligibility. The role involves contacting provider offices for prior authorizations and coordinating with departments to secure accurate coverage and reimbursements.

Requirements include a high school diploma or equivalent and 12–18 months in healthcare or clerical roles.

Qualifications

• 12 to 18 months related experience in healthcare/clerical/customer service.
• Working knowledge of medical terminology and coding basics (ICD-10, CPT, HCPCS).
• Adaptability to multiple systems and knowledge of employment laws.
• Proficiency with Microsoft Office Suite, databases, and general office equipment.
• Excellent time management and follow-up skills to meet deadlines.
• Strong communication and interpersonal abilities; maintain confidentiality.

Responsibilities

• Oversee daily insurance and eligibility verification for outpatient procedures.
• Contact providers regarding prior authorizations to ensure reimbursement.
• Notify appropriate parties when coverage changes and coordinate authorizations.
• Communicate inter-departmentally and with insurance companies as needed.
• Identify outpatient tests that may require retro-authorization for reimbursement.

Skills

Time management

Interpersonal skills

Communication skills

Attention to detail

Education

High School Diploma or equivalent

Associate Degree in Business Administration or related field (preferred)

Job description

Baxter Health in Mountain Home, AR seeks an Insurance Verification Specialist to supervise daily verification of outpatient insurance and eligibility. The role involves contacting provider offices for prior authorizations and coordinating with departments to secure accurate coverage and reimbursements.

Requirements include a high school diploma or equivalent and 12–18 months in healthcare or clerical roles.